Individual provider Active NPI

David Andrew Vigil, D.C.

  • Chiropractor
  • Seal Beach, CA
National Provider Identifier
1336211598
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16157 Issued in CA
Practice address
600 Pacific Coast Hwy
#200
Seal Beach, CA 90740-6600
Phone
(562) 596-1657
Fax
(562) 799-3853
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC16157 CA Primary

Addresses

Primary practice location

600 Pacific Coast Hwy
#200
Seal Beach, CA 90740-6600

Mailing address

600 Pacific Coast Hwy
#200
Seal Beach, CA 90740-6600
Phone (562) 596-1657

Other identifiers 1

IdentifierTypeStateIssuer
DC0161570OtherCABLUE SHIELD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1336211598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PACIFIC COAST HWY",
            "address_2": "#200",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406600",
            "telephone_number": "562-596-1657",
            "fax_number": "562-799-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PACIFIC COAST HWY",
            "address_2": "#200",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406600",
            "telephone_number": "562-596-1657",
            "fax_number": "562-799-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "DC0161570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.